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PRINTED: 02/17/2021 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION

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wwwidphstateilus ltc docsprinted 1027 is a form that needs to be filled out for the Illinois Department of Public Health for reporting long-term care facility data.

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The purpose of wwwidphstateilus ltc docsprinted 1027 is to collect data on long-term care facilities and ensure compliance with state regulations.

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wwwidphstateilus ltc docsprinted 1027 requires information such as facility details, staffing levels, resident demographics, and quality measures.

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